HEIDI ALYSSA STARK
NPI 1356959787
Counselor - Mental Health in Nampa, ID

Q: What is Heidi Stark's NPI number?

The NPI number for Heidi Stark is 1356959787. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Q: What is Heidi Stark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Stark was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2020

4024 IVY DR, NAMPA, ID 83686(208) 890-3864 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heidi Alyssa Stark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI ALYSSA STARK (NPI 1356959787) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (LMSW-38223) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1356959787

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameHEIDI ALYSSA STARK

Location Address4024 IVY DRNampa, ID 83686-8852

Mailing Address4024 Ivy DrNampa, ID 83686-8852 · (208) 890-3864

Phone(208) 890-3864

Sole ProprietorYes

Enumeration DateJuly 22, 2020

NPPES CertifiedJuly 22, 2020

✔ NPI 1356959787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in ID · LMSW-38223

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

4024 IVY DR, Nampa, ID 83686

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Stark's NPI number?

The NPI number for Heidi Stark is 1356959787. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Heidi Stark located?

Heidi Stark practices at 4024 Ivy Dr, Nampa, ID 83686. The listed phone number is (208) 890-3864.

What is Heidi Stark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Heidi Stark was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.